Individual provider Active NPI

Michael Evan Enriquez, FNP-BC

  • Family Nurse Practitioner
  • Lockhart, TX
National Provider Identifier
1679184642
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1008851 Issued in TX
Practice address
300 S Colorado St Ste a-D
Lockhart, TX 78644-2700
Phone
(512) 398-3936
Fax
(833) 615-2766
NPI assigned
Aug 13, 2020
Last updated
Feb 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1008851 TX Primary

Addresses

Primary practice location

300 S Colorado St Ste a-D
Lockhart, TX 78644-2700

Mailing address

300 S Colorado St Ste a-D
Lockhart, TX 78644-2700
Phone (512) 398-3936

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221116002257 TX Practitioner - Nurse Practitioner 9335517796 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ascension SetonGroup PAC ID 5193634293, 54 clinicians

Practice addresses (Care Compare)

130 Hays St
Luling, TX 78648-3207
Phone (512) 875-7000

209 S Church St
Suite Aandb
Lockhart, TX 78644-2713
Phone (512) 376-2999

300 S Colorado St
Lockhart, TX 78644-2700
Phone (512) 738-0625

300 S Commerce St
Suite B
Lockhart, TX 78644-2887
Phone (512) 398-2331

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ascension Seton CurrentSince Feb 25, 2024 Accepting new patients
Ascension Seton Current Accepting new patients
Rehabilitation & Physical Medicine LLC CurrentSince Nov 1, 2025 Accepting new patients
Ascension Seton CurrentSince Feb 25, 2024 Accepting new patients
Ascension Seton Past Accepting new patients

Locations

7930 Northaven Rd
Dallas, TX 75230
Phone (214) 706-8200

1205 Central Texas Expy
Lampasas, TX 76550
Phone (512) 556-5362

300 S Colorado St
Ste Ad
Lockhart, TX 78644
Phone (512) 398-3936

130 Hays St
Ste Bd
Luling, TX 78648
Phone (830) 875-7000

819 W Arapaho Rd
Ste 24B
Richardson, TX 75080
Phone (469) 773-0710

Interoperability endpoints

  • Direct secure messaging: michael.enriquez.1@8363.direct.athenahealth.com
  • Direct secure messaging: michael.enriquez.2@8363.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1679184642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S COLORADO ST STE A-D",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442700",
            "telephone_number": "512-398-3936",
            "fax_number": "833-615-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S COLORADO ST STE A-D",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442700",
            "telephone_number": "512-398-3936",
            "fax_number": "833-615-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENRIQUEZ",
        "first_name": "MICHAEL",
        "middle_name": "EVAN",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-13",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1008851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockhart, TX

Sources for this page

Verify at the official NPI Registry.